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HILARY NELSON PA-C
NPI 1013674225
Physician Assistant in Bozeman, MT

Active since November 22, 2021PECOS EnrolledAccepts Medicare Assignment
822 STONERIDGE DR # A2, BOZEMAN, MT 59718(406) 551-8001 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2023, Jan 18, 2022, Dec 11, 2021 and 1 more (4 updates tracked since 2021).

About Hilary Nelson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HILARY NELSON PA-C (NPI 1013674225) is an individual physician assistant in Bozeman, Montana and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013674225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHILARY NELSONCredential: PA-C
Location Address822 STONERIDGE DR # A2Bozeman, MT 59718-7047
Mailing Address822 Stoneridge Dr # A2Bozeman, MT 59718-7047
Phone(406) 551-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2021
Last NPPES UpdateAugust 4, 20234 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1013674225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 103727 (MT)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 103727 (MT)
822 STONERIDGE DR # A2, Bozeman, MT 59718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hilary Nelson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092192880
PECOS Enrollment IDI20220517001494
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
153 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTANA PSYCHIATRY, PLLC
Psychiatry & Neurology (Psychiatry)
822 STONERIDGE DR # A2
BOZEMAN, MT 59718
Gallatin County (406) 551-8001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hilary Nelson's NPI number?

The NPI number for Hilary Nelson is 1013674225. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Hilary Nelson located?

Hilary Nelson practices at 822 Stoneridge Dr # A2, Bozeman, MT 59718. The listed phone number is (406) 551-8001.

What is Hilary Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hilary Nelson enrolled in Medicare?

Yes. Hilary Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hilary Nelson accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Hilary Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hilary Nelson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.